| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $198.90 | $198.90 | $198.90 | |
Cigna
| Facility | $206.70 | $206.70 | $206.70 | |
Cigna
| Professional | $206.70 | $206.70 | $206.70 | |
Lucent Health
| Facility | $234.00 | $744.30 | $744.30 | |
United
| Professional | $222.30 | $234.00 | $234.00 |